Wade, Donna C

Wade, Donna C is an individual health care provider with primary practice located at 200 Patewood Dr Suite A140, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wade, Donna C can be contacted via phone (864) 454-5125.

Contact Information

Primary practice address
200 Patewood Dr Suite A140 Greenville SC 29615-3593
Phone: (864) 454-5125
Fax: (864) 454-5131
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 100 South Carolina

Profile Details

NPI number 1508806654
LBN Legal business name Wade, Donna C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508806654 NPPES
South Carolina MEDICAID NP0225

Popular Providers